Caption: Hydromorphone hydrochloride (4,5-epoxy-3-hydroxy-17-methylmorphinian-6-one, dihydrohydroxycodeinone; dihydromorphinone; dimorphone); brand names: Dilaudid and Palladone. Also known as: big d, d's, delantz, delaud, delida, dillies, drug store heroin, dust, footballs, juice, little d, lords, smack. Hydromorphone is a prescription painkiller made by chemically altering morphine molecules. Available in pill and injectable form, Hydromorphone is about five to eight times stronger than morphine and is sometimes used instead of morphine to regulate pain from injuries, surgery, cancer, and severe migraine headaches. Doctors generally do not prescribe Hydromorphone products as a first course for pain relief. Hydromorphone is addictive and is peddled on the street